DR. THEMARGE MCLELLAN SMALL (NPI# 1427144369) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427144369 |
| Entity Type | Individual |
| Full Name | DR. THEMARGE MCLELLAN SMALL |
| Other Name | THEMARGE ANNE MCLELLAN |
| Credential | M.D. |
| Practice Address |
140 Hospital Dr Suite 302 Bennington VT 05201-5009 |
| Practice Telephone | 8024429600 |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2009-05-06 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 042-0011640 | VT | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | RT-1393 | NH | Allopathic & Osteopathic Physicians |
| Street Address |
140 HOSPITAL DR SUITE 302 |
| City | BENNINGTON |
| State | VT |
| Zip Code | 05201-5009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266893 | Simon Paul Drew | Surgery | 140 Hospital Dr, Ste 203, Bennington, VT 05201-5015 | 2005-06-22 |
| 1437605201 | Robert Anthony Majors | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-31 |
| 1023562493 | Scott Lippacher | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2016-08-15 |
| 1285091850 | Karena Webber | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2016-01-27 |
| 1285010397 | Sheilah Scofield | Nurse Practitioner | 140 Hospital Dr, Suite 301, Bennington, VT 05201-5009 | 2015-07-31 |
| 1679951909 | Crystal Labbe-hasty | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-05-06 |
| 1740675065 | Kelsey Lange Pierce | Physician Assistant | 140 Hospital Dr, Suite 111, Bennington, VT 05201-5009 | 2015-04-02 |
| 1255734000 | Steve Rucker | Nurse Practitioner | 140 Hospital Dr, Suite 216, Bennington, VT 05201-5009 | 2014-10-07 |
| 1740682921 | Southwestern Vermont Medical Center, Inc | General Practice | 140 Hospital Dr, Bennington, VT 05201-5009 | 2014-09-19 |
| 1326485954 | Stefanie Ann Mcgowan | Nurse Practitioner | 140 Hospital Dr, Bennington, VT 05201-5009 | 2013-05-22 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154720951 | Justin Carl Wilkinson | Specialist/Technologist | 320 Elm St, Bennington, VT 05201 | 2014-08-18 |
| 1134533235 | Patrick Deedy | Specialist/Technologist | 5 Appletree Ln, Bennington, VT 05201 | 2014-06-17 |
| 1083974299 | Khola Qamar | Internal Medicine | 140 Hospital Dr Ste 307, Bennington, VT 05201 | 2012-05-22 |
| 1295039808 | Bernadette R. Potratz | Massage Therapist | 160 Benmont Ave., Suite 23, Bennington, VT 05201 | 2010-12-23 |
| 1780870642 | Aaron York | Psychiatry & Neurology | 186 North Street, Bennington Va Clinic, Bennington, VT 05201 | 2007-09-24 |
| 1053434100 | Sunrise Family Resource Center | Social Worker | 244 Union Street, Bennington, VT 05201 | 2007-04-06 |
| 1316022817 | New England Consulting Inc | Chiropractor | 125 Elm Street, Bennington, VT 05201 | 2006-10-25 |
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1982796496 | Maureen Matthews Mcclintock | Social Worker | 655 Main St., Bennington, VT 05201 | 2006-09-29 |
| 1447270525 | Robert J Miller | Dentist | 129 Elm Street, Bennington, VT 05201 | 2006-07-20 |
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| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306926704 | Glen Carlisle Mackenzie | Obstetrics & Gynecology | 160 Benmont Avenue, Suite 22, Bennington, VT 05201 | 2006-10-17 |
| 1336305721 | Southwestern Vermont Medical Center Inc | Obstetrics & Gynecology | 140 Hospital Dr, Suite 302, Bennington, VT 05201-5009 | 2008-08-05 |
| 1851555437 | Malcolm A. Paine | Obstetrics & Gynecology | 140 Hospital Dr, Suite 302, Bennington, VT 05201-5009 | 2008-07-14 |
| 1003993486 | John Matheson Mclellan | Obstetrics & Gynecology | 140 Hospital Dr, Bennington, VT 05201-5009 | 2006-11-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962841817 | Katherine Irving Areson | Obstetrics & Gynecology | 185 Tilley Dr Ste 57, South Burlington, VT 05403-4484 | 2013-06-24 |
| 1356784060 | Jorden L Arnett | Obstetrics & Gynecology | Po Box 2000, Randolph, VT 05060-2000 | 2013-04-11 |
| 1740583376 | Women's Health Associates Inc | Obstetrics & Gynecology | 121 John Jensen Rd, Perkinsville, VT 05151-9636 | 2010-12-21 |
| 1396889739 | Harvey David Zara | Obstetrics & Gynecology | 9 Helvi Hill Rd, Mendon, VT 05701-9668 | 2007-02-19 |
| 1437242187 | Santiago Cancio-bello | Obstetrics & Gynecology | 247 Stratton Road, Rutland, VT 05701 | 2006-10-02 |
| 1740390053 | Keith Fortier | Obstetrics & Gynecology | 594 Copenhagen Rd, Waterford, VT 05819-9055 | 2006-08-30 |
| 1407864739 | Judith Howard Mcbean | Obstetrics & Gynecology | 28 Belmont Ave, Brattleboro, VT 05301-6654 | 2006-08-03 |
| 1295741965 | Peter Raymond Casson | Obstetrics & Gynecology | 105 Westview Rd, Suite 302, Colchester, VT 05446-8025 | 2006-08-01 |
| 1831103571 | Christine Adrienne Murray | Obstetrics & Gynecology | 105 Westview Road, Suite 302, Colchester, VT 05446-8024 | 2006-07-28 |
| 1225051766 | Stephen J Woodruff | Obstetrics & Gynecology | 22 Eastview Lane, Berlin, VT 05641-5317 | 2006-07-25 |
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| City | BENNINGTON |
| Zip Code | 05201 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.